# PACIFIC ENDOCRINE DIABETES HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619188497
- **Authorized official:** DR. MING LI MD (CEO)
- **Authorized official phone:** (408) 993-8764

## Contact information

- **Practice address:** 25 N 14TH ST STE 920, SAN JOSE, CA 95112-6216
- **Practice address phone:** (408) 993-8764
- **Mailing address:** 25 N 14TH ST STE 920, SAN JOSE, CA 95112-6216
- **Mailing address phone:** (408) 993-8764
- **Mailing address fax:** (408) 993-8765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 12/12/2012